The More Benefits of a Personal Trainer

Everyone can benefit from personal training. Regardless if you're a first timer who just started considering this fitness goal or even if you are an elite athlete who wants to improve your performance, you can still benefit from a personal trainer.

By working with a trainer, achieving your goals will be very easy. Every individual is unique. Your goals, desires and aspirations are entirely different from someone else. So as to say that there is no generic flat form that you can use in order to attain what you want, but a personal trainer will understand your personal time commitments, goals and will give you the steps on how to work towards it.

Hiring a Personal Trainer: The Benefits

· Proper fat loss and muscle gain – Different people have different goals when they are working out however, the most common of all these goals would be weight loss as well as muscle gain. Since it is hard to balance between the two, it is the job of a personal trainer to guide you and teach you the right exercises so that you can achieve both goals.

· Faster and better results – As you work with a personal trainer all through your fitness routine, you can be sure that you are spending time on the appropriate types of activities. If in case your work out time is limited, your personal trainer should be able to give you an exercise that will give the best result despite the little amount of time.

· Reduce possible injuries – A trainer will educate you about the proper techniques and forms used during your workout making sure that you are innocent-free and safe.

· Overcome plateaus – If at some point you hit a certain plateau in your exercise routine, it would be challenging to stay motivated and to keep on pushing through. Your personal trainer will help you understand why you reached this point and then find a way on how you can work it through.

· Establish an exercise habit for life – By getting a personal trainer, you are also getting a partner who will help you figure out how you can prioritize exercise and healthy living. You also have a partner when it comes to overcoming obstacles that might stop you from exercising.

More and more people nowdays are working out with the help of trainers and this has proved to be an effective way of achieving the health and fitness levels that they desire. Simply put, getting a personal trainer is the best option for you so that someone can keep you accountable with your commitments while at the same time, provide you with routines that are customized, making sure that you putting in effort on the right exercise.

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What Causes a Strained Muscle and How to Treat It?

Physiotherapists define a strained muscle as being a tendon or a muscle which has been stretched or torn. Tendons are tissues that connect a muscle or group of muscles to the bone. When your muscles are stretched beyond its present limits it causes a train. For instance, the sudden lifting or twisting when working can cause a strain. A strain can either be sudden or it can develop over a period of time. The most common signs of a strain are redness, swelling, muscle spasm, and bruising.

Physiotherapy works by minimizing the overall amount of damage done by the injury and speeds up the healing process. Small yet imperative changes in movement along with muscle strength improvement can help prevent strains in the long term.

Early stages of a strain

Rest is key during the early stages of treating a muscle strain. Resting the muscle will ensure that all the small muscle fibers which were damaged now have time to heal. You should avoid stretching during the early stages of a strain. Hot and cold packs can be used to manage the pain, plus you should avoid painful activities which caused the strain in the first place. If you still do not get relief you can always consult a physiotherapist who will use treatments like manual therapy, electrotherapy and probably some acupuncture.

Protect the injured area

When you have a strained muscle one of the challenges is that you still need to use that part in everyday life. This may not allow the injured area to heal, in situations like these it is best to wear a brace. A hand strain can take a very long time to heal because it is hard to rest the area. Physiotherapists recommend that you tape the area or wear a brace so that you can easily move that body part without putting any more pressure on the injured area.

Moving to restore normal function

A strained structure needs to be strong overtime while both dexterity and balance is improved. This requires some movement albeit limited. As you start to heal, you can practice things like holding chopsticks or probably changing the direction on a soccer field. These small yet significant changes made to your natural movement along with good muscle strength can prevent long term muscle strain. Your physiotherapist may provide you with a detailed list of specific movements based on your condition.

All strains are different

The area where the muscle strain occurred is often red, painful, bruised and red. Also, the muscle is going to be different to use without triggering extreme pain. However, treatments for all types of strains are different, mainly based on the injury, specific muscle, intensity of the strain and the functional goals of the person in question. A physiotherapist can help to distinguish between mild and severe muscle strain. Both these types of strains will need to be treated differently and so an individualized exercise period which includes strength and stretching is going to be needed.

The best way to get your condition diagnosed is to visit a professional. However, before that if you think that the strain is not quite applying a hot / cold pack four to six times a day for a week should help to relieve you of the pain and the condition. That said if you do not see any significant change in your condition within this week then it's time to contact a physiotherapist.

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Ankle Sprains and Physiotherapy

Ankle pain is a common pain experienced by most individuals, and is most often prevalent with an ankle sprain or ankle injury to structures within the ankle joint itself. These injuries can range from muscles strains or sprains, to over stretched ligaments, to fractured bones of the feet and other injuries to soft tissues within the ankle joint.

Ankle sprains happens when the feet is most flat extended coupled with a rotation motion that over stretches the ligament holding the ankle together, causing minor tears on the ligaments … plus lots of pain. The level of pain one may experience depends on the severity of the injury – the more tear, the more gapping and stretching of the ligaments, the more bone bruising – the more pain. The pain experienced depends on the individual's pain tolerance threshold. The types of pain one may experience includes throbbing, pulling, stabbing, burning, jolting types of pain, to name a few.

When present with patients with ankle sprain or ankle pain, physiotherapists will need to first assess the patient, determine the core and causes of pain, manage the basic symptoms and treat the core problems. Basic management from a fresh ankle sprain is cold therapy to decrease swelling and inflammation, followed by ultrasound therapy to accelerate soft tissue linguistic healing.

If and when necessary, there may be a referral to an occupational therapist to fabricate a resting ankle-foot-orthoses (AFO) to allow the injured ankle to rest in the best resting position.

It's very easy to be side lined and to be distracted by just pain management, but ankle sprain is not just about pain management. Once the acute stage of pain is over, physiotherapy management and intervention will need to include balance training, walking re-training if walk pattern has been affected, strength training of the ankle, proprioceptive training and even deep tissue massage to stretch our over tight muscles .

A key item to note is proprioceptive training – you see, when one gets a sprained ankle, our proprioceptive centers, which is the centers in our ankles that notes the foot and ankle position. The function of our ankle proprioceptive centers is to correct and re-correct ourselves when or if we slip, and the proprioceptive center will then kick in to help us correct our position. When it works, it will prevent us from re-injuring the ankle (which explains why people with ankle sprails tend to have recurring ankle sprains … often increasing increments with each new recurrence).

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TBI and Suicidal Thoughts

Traumatic Brain Injury (TBI) can, directly or indirectly, result in ideations of suicide – recent studies have found. While the brain injury patient may not actually commit suicide, the thought of committing suicide itself can be interpreted as abnormal and dangerous. However, experts who have completed the study on the relationship between TBI and suicidal thoughts, add that those who have suffered multiple brain injuries are more prone to suicidal thoughts. For example, combat personnel engaged in war are more vulnerable to brain injuries than most of other categories of people.

About the study

The study was conducted by qualified clinical psychiatrists. The subjects of the study were military personnel engaged in combats. The study wanted to evaluate the impact of TBIs – single or multiple – on military personnel's thought process. After the study results were published, Craig J. Bryan, the lead author and the assistant professor of psychiatry at the University of Utah, said “Up to now, no one has been able to say if multiple TBIs, which are common among combat veterans , are associated with higher suicide risk or not, this study suggests they are, and it provides valuable information for professionals treating wounded combat servicemen and women to help manage the risk of suicide. ”

What qualifies as a Traumatic Brain Injury?

TBI is a type of injury that can interrupt – permanently or temporarily – normal brain functions or activities. A TBI can occur as a result of a jolt or a blow to the head or any kind of penetrative injury on the head.

Related data on TBI

The study concluded that combat personnel such as those engaged in direct battle, defusing mines or bombs and artillery are more likely to receive TBIs. In fact, TBIs are considered to be a signature injury of soldiers in combat in Iraq or Afghanistan. Between 2009 and 2011, about 10 percent of all soldiers engaged in Iraq and Afghanistan have suffered from TBI.

How was the study conducted?

The study was conducted on a sample size of 161 soldiers, around age 27, who were stationed in Iraq or Afghanistan. If a soldier suffered a blow or a jolt on the head and after that, suffering from loss of consciousness, blurred vision, loss of memory or any other kind of neurological disorder, it was considered that the soldier was a victim of TBI. Only those soldiers who had suffered mild TBI completed the study. Significantly, about 21.7 percent of the soldiers admitted to having contemplated suicide at least once. Again, the soldiers who did not receive TBI did not have any thoughts of committing suicide. So, while it may not yet be established what exactly makes soldiers claim suicide, it is established that TBI does change thinking patterns. Generally, since the brain plays a controlling role as far as our thinking process goes any interference in its normal activity is bound to interrupt or disrupt normal thought process of human beings. This may be permanent or temporary.

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Achilles Tendon and Physiotherapy

Our Achilles tendon, also known as the tendo calcaneus, is a tendon at the back of our legs. It connects three muscles called the soleus, gastrocnemius and plantaris to the bone of the heel. It is the most strong, most thick and most durable tendon in our body body, and it's rough 15 cm in length.

It originates from near the center of our calf muscles, and it attaches to the muscles all the way near to its insertion point (its location and length attributes to its strength and durability). It strong enough to carry up to four times the human body with walking, and up to eight times when running. It is very, very strong, and at the same time, if or when our achilles tendon gets injured, it'd impact us a lot.

If or when our Achilles tendon gets injured, normally we do not go and get it surgically repaired immediately as first point of intervention; often therapists such as physiotherapists and podiatrists use aids, equipment and orthotics can be used to correct any misalignments. As anti-inflammatory drugs can contribute to tendinopathy, it may not be advised to take them for the long term.

We are often referred patients with Achilles tendon injuries for physiotherapy interventions, especially for calf stretching and strengthening. Whenever necessary, the physiotherapist or the referring doctor may request for the fabrication of an ankle-foot-orthosis (often abbreviated to AFO); it's done by the hand therapist or occupational therapist. What the AFO does is it helps to correct alignment, provide a consistent and passive stretch to an adequate resting length to protect the tendon for maximum healing.

If the Achilles tendon has been 100% ruptured, surgical intervention is 100% required to re-attach the torn tendon back together to allow proper healing … plus an AFO to protect the repair. On average, it takes about ten to eighteen months for full recovery post surgery of a torn achilles tendon.

Adequate and accurate physiotherapy intervention is critical to manage injuries such as this, as improper management can cause residual problems such as decreased range of motion in the ankle, decreased strength of plantar flexion and dorsi flexion of the ankle, decreased balance and proprioception, reduced stamina and reduced confidence.

What physiotherapists will do is that they will first manage the pain experienced using heat modalities, accelerate the soft tissue healing with ultrasound therapy, then start with gentle mobilization exercises before moving on to strengthening and stretching exercises.

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Cervical Traction Therapy for Treating Neck Pain

Neck pain can have an extremely crippling effect on your life. There are many reasons why you're experiencing neck pain and there are a number of different methods of treatment available to you. In this article, cervical traction therapy will be discussed as well as the various methods of traction therapy and the pros and cons that are associated with them. Depending on how your neck is injured, traction therapy, or decompression therapy might be exactly what you need.

Why do I feel pain?

Neck pain can be caused by a number of different things. One of the most common is a compressed disc, located in the cervical spine. When a joint gets compressed, it loses some or all of its ability to stay hydrated and it can also lose its shock absorbing properties. It also creates less space for your nerve endings coming from your spinal cord which can result in pinched nerves or Sciatica. Sciatic nerve pain can be felt down the arms and into the fingers, also in the case of a back injury, down the legs and into the toes. This type of neck injury can be caused by an accident, bad post, incorrect lifting techniques, consistentraining or tight muscles, to name a few.

Treating a compressed disc

There are several methods used to treat a compressed disc. Most non surgical methods generally use the same idea that relieving pressure or decompressing the disc will allow the disc to rehydrate and stay hydrated properly, giving it it's shock absorbing characteristics back. When the injury has been repaired, strength training can be done to help prevent future injuries. Traction therapy devices come in a range of sizes and complexities. From ones you'll only find in a doctors office to smaller, home-based models you can hang from a door in your house. Professional traction therapy equipment includes computerized, table top models costing thousands of dollars. This method of treating neck injury is very effective but can come at a cost to the patient. Not to mention time spent traveling to physiotherapy. Home-based therapy devices have become more common in recent years. They offer the same style of treatment but are generally inexpensive and can be done without assistance, from your own home.

Whats the best method?

Answering this question depends on the severity of your injury. Paying a visit to a physician can help answer a lot of questions on which method to choose, although sometimes you leave with more questions than answers. They will usually point you in the right direction, although sometimes an unbiased opinion is helpful.

Typically you can benefit a lot from a good doctors treatment. They will provide you with whatever treatment they feel is necessary to repair the injury, although it is usually the most expensive route to recovery and may not be absolutely necessary. Sometimes a cheaper option may be just as effective.

Inversion tables have been a popular treatment over the years. It involves laying on a table, strapping your ankles to the table and inverting the table so you hang upside down at various angles for varying lengths of time, typically between 5 and 20 minutes. They have been known to work well, although many people report getting headaches and dizziness, caused by too much blood flow to the head.

Smaller, home-based models are reliably inexpensively and depending on how bad your injury is, may be all you need to relieve yourself of pain and repair your injury. They come in a couple different styles. From the cheaper “over door” type devices, to the more expensive air-cell or air-chamber type.

The over door type of device such as the OTC Over Door Device , are generally hung from an open door in your house. Your head is secured into the device, a cable is strung through a pulley system and connected to a weight on the other end, usually a bag of water. These models usually cost only around $ 20, however, they are not really the most comfortable. Lifting the weight into place for some people could be quite challenging.

The air-chamber cervical devices such as the Posture Pump , involving laying down flat with your head secured into the device, pumping air into the air-cells, holding for a period of time and then deflating the air. These devices are typically more comfortable but will also cost a bit more, ranging from about $ 100 to $ 1000 and up.

Action plan for treating neck pain

A trip to a physician should always be the first step. From there you can both decide which will be the best method for raising your crime. This article was written to help make people aware that there are a few options when choosing the right treatment for yourself. Deciding the right method can shorten the amount of time spent treating yourself and hopefully make the whole process much easier to deal with.

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Physical Therapy After a Car Accident

If you or someone you know has been in a car accident, you know how difficult it can be to get back to a normal routine after an injury. Not only is there the struggle of completing daily activities, but also there is the struggle of overcoming your injury.

Automobile accidents can lead to a number of different types and severities of injuries, but whiplash is common, and it can lead to long-term pain. Regardless of the amount of your injuries, physical therapy may be able to help you get back on track again.

When you see a therapist, they may combine different techniques to treat you. Some therapists incorporated massage to both loosen the patient's muscles and to help them relax before or after a session. Some also include the use of yoga-like stretches to help set a calming tone for the session.

Other therapists jump right into the hard work, and they have their patients doing a variety of exercises, which can include lifting weights, resistance band training, and exercises incorporating a balance ball. Whatever the case may be, your physical therapist should work with you one on one in order to treat your sources of pain.

While you may be in treatment from anywhere to a few weeks to several months, sometimes the most important thing to remember is the ongoing therapy that you will be doing at home. Many patients feel better after a few appointments, and they think that their treatment is complete.

However, in order to experience all of the benefits of your physical therapy, it is important continue to do your exercises at home. Your physical therapist should provide you with a list of exercises that you should complete on a daily or weekly basis at home to maintain your positive results. They may also provide you with resistance bands or exercise equipment recommendations so that you can have all of the tools that you need to succeed.

If you find that you are experiencing occasional pain despite your best efforts with your at-home plan, it may be the case that you need to see your physical therapist again. Make an appointment to discuss your concerns and get an idea of ​​what you could have done better to avoid future issues.

You may also want to consider speaking with your doctor about potentially taking medication for your pain. With a combination of time and hard work, many automobile accident injuries can be corrected, and pain can be minimized.

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Choosing IVF for a Complete Family

Giving birth to a baby brings abundance of joy and happiness. While many succeeded in having a kid, not everyone is fortunate. Some women have difficulties in conceiving, which can be very stressful. This might be due to a number of reasons. Unlike olden days, there is an alternative to this problem. With the help of IVF it is possible for couples to fulfill their baby dream.

When to Opt for IVF
IVF is usually a preferred method of treatment if a couple has been trying to have a baby for quite some time. It is a process of fertilizing an egg by a sperm outside the body. Before deciding to opt for this fertility treatment, consult your doctor. The doctor will examine your case in detail and run a few tests on you and your partner. These tests will exactly tell you why you are not being able to conceive. On seeing the reports the doctor will decide if this method is best for you or not. Usually the cause of not being able to conceive might be due to male infertility issues or due to female infertility issues and sometimes it is a combination of both. Your doctor may not immediately ask you to go for an In-vitro fertilization method. He / she may suggest you a low-technology infertility treatment initially. If it does not work then you will be given an option to choose IVF.

Being Prepared
IVF treatment abroad has been made simpler with the advent of new technology. You doctor will provide all the information you need before you initiate this process and will guide you in every step. Some couple will feel shocked and angry when they discover about their infertility. Coming to terms with this condition and keeping an open mind about alternative solutions in rectifying the problem will help them take better decisions. If other alternate methods fail to work for you, then this treatment might be the only chance for you to have a baby. So it is better to read as much as you can about it and be prepared for the ups and downs that may tag along with the treatment.

What to Expect
With the advancement in reproductive technology, fertility treatment abroad has proved to be very effective with good results. It consist of a series of steps which starts with stimulating of eggs, egg collection, sperm production, fertilization, transfer of embryo and finally ends with pregnancy test after two weeks of embryo transfer. Although IVF success rates are said to be high, one should not lose heart if the method fails. Your doctor will tell you if you need to do the process again. You can also have talk to an IVF counselor about increasing the chances of conceiving through IVF.

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How To Increase Active Living In Your Lifestyle

Active Living referers to a way of life and living where one integrates physical activity and exercises into daily routines, as much as one can. An example if you're going back home, and if you stay in an apartment, you opt to walk up the stairs instead of taking the lifts. Better still, you can take the stairs down AND up the stairs, as often and as much as possible.

Applied on a larger scale, you can take it steps further by walking as far as possible to your location of choice ie walking to the grocer, office, train station etc. Or you can choose to buy a bicycle and cycle to work or where you need to go, instead of taking public transport or driving your own car.

Active Living is the best answer and counter to sedentary living. As technology improves, our work becomes more and more non-physical and deskbound, and this leads us to form bad post habits that is aggravated by stress and prolonged office working life. Many of the patients we treat in our physiotherapy clinic complaint of musculoskeletal disorders, characterized by general aches, pains and stiffness in one's muscles, connective tissue and joints … even without the presence of trauma.

How Can I Have More Active Living In My Life?

Everyone's different, so it varies from person to person, depending on our gender, age, lifestyle, location, climate etc, but really, it's rather straightforward and simple to incorporate active living into your life and lifestyle – it just needs some planning.

What we will recommend it to start slow, and to gradually ease more and more into it as you get more comfortable. An example is you can start with just one task per day to have Active Living incorporated into it, and slowly work up more and more tasks to this. Tasks that you can consider including doing your marketing and grocery shopping, hanging out with friends, going out for events etc – there's really no limit how active you'd like your tasks to be … but do start slow and ease into it ya .

What you will need to do is to first check with your doctor to see what you can start off with – the doctor may send you to your local physiotherapists who will do a full clinical examination including finding your past medical history, as well as your physical and mobility assessment before prescribing customized exercise program to amp up your fitness.

The next thing you need to do is to get appropriate gears (think footwear, apparels such as tops and bottoms, water bottle to keep hydrated, sunblock etc) as well as back up plans in case the weather changes and stuff like that. For a longer term view, if you're planning to rent or buy a home to stay it, it'd be good to recce around the place to see the sidewalks, the vicinity, the mapping of your place to see if it would help to sustain your Active Living lifestyle – this will help to keep you as active as possible.

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How Much Salary Does a Physical Therapy Assistant Make?

The members of the association include physical therapists, PT assistants and students of physical therapy. Physical therapy has been defined by APTA as: “clinical applications in the restoration, maintenance, and promotion of optimal physical function.”

The health care professionals who are working with physical therapists in providing physical therapy treatments are called physical therapy assistants. They are usually needed among patients who are treated for arthritis, lower back pain, injuries due to accidents, and heart diseases. To help patients who are recovering from surgery, illnesses and injuries in order to manage pain and to regain movement is the major purpose of a physical therapy assistant. Mostly, exercise is being performed where muscles and joints are being strengthened by a variety of techniques.

Physical therapy assistant is the one in charged in supervising the patients while they are following the treatment regimen being developed by the therapist. They make sure that patients carry through the plan correctly and successfully. They help in providing services that improve the mobility of the patients and in reducing their pain thus preventing them from further injuries and limiting the condition to deteriorate. It would depend on the experience that the physical therapy assistant has and the clinic that they are working for in which their duties and responsibilities may vary. Neverheless, physical therapy assistants must always work under the supervision of a physical therapist. Helping physical therapists in clinics, rehab centers, offices, outpatient centers, education centers, research centers, extended care facilities, schools, sport training facilities, industrial places, and hospitals are the common work of physical therapist assistants.

Education, Training and Certification
Physical therapy assistants in most states are required to have an Associate's Degree from CAPTE (Commission on Accreditation in Physical Education) accredited programs. This has typically two parts which are academic coursework and clinical experience. Courses like English, physiology, anatomy, and psychology are covered on the first part while the second part is more on hands-on experience that takes place in therapy centers. Right now, there are 280 accredited associate degree programs available for Body therapy assistants. Aside from the coursework, the clinical training given to health care specialist assistants helps them gain practical experience in their field. Cardiopulmonary resuscitation (CPR), hands-on experience, and first aid giving are included in the training. Most states required a therapist assistant to be licensed before they can practice. They are also required to first pass the National Physical Therapy Examination (NPTE) issued by the Federation of State Boards of P. Therapy after completing a 2-year Associate's program. They can then apply for a license in the state they would like to work and the license often has to be renewed with continuing education courses.

Career Perspective and Work Environment
There were 67,400 jobs in this occupation in 2010 and it expected to expand by 46% in 2020. Over 50% of PT assistants work in ambulatory health care services and 28% work in hospitals. You will also find them in nursing homes and residential care facilities.

Work Schedule
Typically, body therapy assistants are working in full time hours. Since most clinics are open during evenings and weekends, they are also expected to work during those times.

Factors That Affects the Salary of a Dental Hygienist
The key factors that would determine the salary of a physical therapy assistant are experience and education. Other graduates choose to gain other certificates in massage therapy, Cardiopulmonary Resuscitation (CPR) and Basic Life Support (BLS), since it will not only improve their ability at work, but will also increase their pay. The choice of right work setting would also affect their salary. Mostly, skilled nursing facility pays the highest in salary while outpatient clinics pay the lowest.

Average Yearly Income
The average annual salary of a physical therapy assistant is $ 51,110. This has been calculated by adding all the wages within the occupation and dividing that value by the total number of employees. The lowest 10% in this career makes less than $ 32,030 and the top 10% makes over $ 71,200. The mean hour salary of a physical therapy assistant is $ 24.57. The lowest 10% makes $ 15.40 while the top 10% makes $ 34.23.

Below are the Highest Paying Cities and States:
• Mission, TX: $ 80,760
• Longview, TX: $ 76,450
• Sherman, TX: $ 73,650
San Antonio, TX: $ 72,960
• Victoria, TX: $ 72,770

• Texas: $ 66,170
• New Jersey: $ 57,330
• California: $ 57,270
• Connecticut: $ 57,260
• Florida: $ 56,740

States with Highest Employment Level:
• California
• Florida
• Pennsylvania

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How to Choose a Counsellor

A counselor is a trained professional who is able to provide help and guidance on a number of issues or problems that you may be currently experimenting with. Counseling can cover a huge range of topic and systems, so it is important to choose a counselor who provides the services that you need. There are so many different counsels offering their services that it can be hard to know who to choose. This article provides some simple tips that will help you to choose the best counselor for your needs.


The first thing you will want to do is ask the counselor what qualifications they hold. Many countries require that a counselor should be fully qualified and certified to be able to legally work with clients. The qualifications will vary depending on what country you stay in. Always ask for a full list of qualifications that they have. Many counselors will have websites which will display information on the qualifications that they have gained.


You will also want to ask them how long they have been working as a counselor for. Experience is not always everything, but it is beneficial to get an idea of ​​their experience level.

Specialist Areas

Does the counselor specialize in a specific area? For example, some may specialize in marriage or relationship counseling, while others will help to provide a grievance therapy session that will help you to cope with the loss of a loved one. Some therapists will be able to help with a wider range of issues. Some of the most common problems area they can help with include:

• Depression
• Anger Management
• Personality disorders
• Anxiety
• Coping with abuse and trauma


The location of the counselor is another thing you will want to take into consideration. You will want them to be located fairly near to where you live so that you can visit them easily. If you live in a remote location then you may have to travel a further distance in order to be able to see a good counselor.


The cost of the counseling session will also affect who you choose to work with. You should never just book a counselor because they offer the cheapest services. Instead, you should take a look at what each of the contractors have to offer, and then choose the one that you think will be able to help you the most. If your GP referes you to a counselor then you may be able to reclaim back some of the cost of your counseling sessions through your healthcare insurance provider. You can call up your provider to ask if this is the case before booking a session.


It may also be worth getting reviews on the counselor before you choose to work with them. You can do this by searching for independent reviews online. You can also ask them if they have any testimonials from past clients that you can read. Always choose a trusted and reputable counselor to ensure that you will be receiving a high quality service.

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Checklist to Seek the Most Appropriate Treatment

Checklists are wonderful organizing aids to help us make some of the most difficult yet important decisions in our lives. Without a checklist, we will be drowned by the myriad of choices, especially when it comes to healthcare and medical treatment. It is important to know when to seek medical treatment and attention. Many people who have suffered injuries often ignore it with the mentality that things will get better a few days later. While this is true for minor injuries, major ones can not wait and the later you seek help, the lower the chances of recovery. Here is a checklist to help you seek the most appropriate treatment.


Pain is the body's way of telling you that something somewhere is not right and it's time youought to do a health check. However, when pain already sets in, it's often a tad too late. But this does not mean that you should sit back and do nothing! Understand the type of pain wherever it comes on and goes away suddenly or it lingers for quite a fair bit of time. You should also try to find out the exact location of the pain and this can help you narrow down the possibilities.

Localized or Generalized?

Symptoms typically start generalized before zooming into a localized region. When you start to suffer from generalized discomfort, it's time to visit a doctor and he will usually do an x-ray for you. If the problem is left ignored, it will often become localized and this will cause more problems and will often become very serious by the time you visit a doctor. However, some medical problems are very direct, such as an Anterior Cruciate Ligament tear. Upon immediate impact and tear of the ACL, there will be swelling and inability for the leg to bear your body weight. You will also know that you need to seek immediate treatment from an Orthopedic surgeon.

Know the various types of specialist surgeons

There are so many specialist surgeons out there, from Cardiothoracic to Neurosurgeon to Orthopedic. Understanding which part of your body is affecting you will help you seek the correct surgeon for the best advice. For example, you will not seek an ENT surgeon for ankle sprains. Neither will you seek a Gynecologist for nose problems.

Above are 3 points that should be in any checklist for appropriate medical treatment. Although they are not comprehensive, there are still able to help you narrow down available treatment methods for you.

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Achilles Tendonitis And Physiotherapy

Achilles tendinitis reiterates to the overuse condition of the achilles tendon. It is a common injury amongstst individuals who walk or run a lot, as well as athletes that overtrain. Other conditions that contribute to this includes excessive weight, training in poor training situations, or walking / running with excessive and even bone spur.

You know, often patients requests how this problem comes about, and what we often explain to them is that tendons tend to have poorer or secondary blood supply (this explains the paler color of tendons). Because of this, all tendons tend to re-injure easily. That's why often people who suffer from this injury tend to have prolonged and chronic achilles tendinitis.

Physiotherapy Treatment For Patients With Achilles Tendinitis

Immediate physiotherapy will be focused on managing your pain through the decreasing of inflammation and swelling through cold therapy, retrograde massage therapy as well as combined with ultrasound therapy to accelerate soft tissue healing. When the pain has been controlled, we will start with gentle active stretches to maintain our foot and ankle's muscle, joint and tendon elasticity.

As the inflammation improves and pain decreases, we will start working on strengthening exercises to gently ease patients back to sports and normal living. In some conditions, what happens is that our calf muscles can be so strong that it pulls the achilles tendon too rigidly, causing and contributing to this problem. If the physiotherapist diagnoses this to be the condition, deep tissue release to decrease the tightness can help to decrease the over-pull on the tendon – at times, one can get the results immediately upon release.

For very acute conditions, orthopedic surgeons and general practitioners may send patients to use requesting for a resting ankle-foot-orthosis, which is a customized foot brace to support the ankle that it can rest the best it can.

On average, a tendon injury will take between six to twelve weeks or more to recover, depending on how much rest one is able to get, rate of reinjury, age, gender and fitness prior to injury.

Preventing Achilles Tendinitis

Preventing this condition is always better than cure, and some of the best ways to prevent it is to try your best to strike a balance between exercise and rest. Regular deep tissue release to loosen tightened calf muscles and maintain optimum muscle length will prevent over-pulling by the calf muscles.

Participating in exercises and activities that include stretching may also prove beneficial.

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Fall Prevention: The Long Term Impact of a Little Slip

It is not uncommon to hear anyone over the age of 50 to say, “I am not moving around as well as I used to”. Many accept that as just a part of life. The problem is that this complacency can have very real consequences to everyone. It can require increased care for a parent, it can result in a move from home, and it can cost a lot of money.

According to the Center For Disease Control, 1 in 3 adults over the age of 65 fall each year, 20 to 30% of which suffer what are classified as moderate to severe injuries. As a result of 2.4 non-fatal falls which leads a to an estimated 660,000 hospital admissions per year.

Benjamin Franklin noted long ago, that “an ounce of prevention is worth a pound of cure” so it is important to take note of the following:


Many fail to remember or ignore this fact, but you can often do so with very little work and, in many cases, little to no out of pocket cost. Dr. Betty Perkins-Carpenter, who is on the President's council of Physical Fitness and Sport acknowledges that, “It is not always possible to prevent the illnesses that change our lives, but it is possible to prevent or minimize most of the falls that plague our senior citizens. ”

Many know the basics, and things such as pulling up throw rugs modify lighting with auto timers for the evening are often done. However, both family members and some medical professionals often think they are helping when they are actually, and unknowingly INCREASING the risk of falls.

When someone is losing their balance, the first thought is to get a cane, a quad cane, walker or other assistive device. In many places this is sole responsibility of the physical therapy team. In fact, at Johns Hopkins, the surgical patients are not allowed to leave the hospital until they were properly outfitted with a device and properly instructed in its safe and proper use.

Often devices are purchased at a pharmacy or given by a medical professional other than a physical therapist with the assumption that use is intuitive; it is not.

The incorrect device or a correct, but not properly sized device can actually increase your risk of falls.

As easy as it looks, there are nuances to choosing, sizing, and prescribing an assistive device, not to mention proper usage and, in some cases, the amount of practice that is required to use it correctly and safely. This education is included in the intensive post graduate course work in physical therapy school. In fact the billing code for gait training it unique to physical therapists and physical therapy.

The advantage, when you utilize a physical therapist the service is covered by medical insurance and does not require a doctor's referral.


Many know that physical therapists are experts in conservative, non-pharmaceutical pain relief; they are also experts in how the body moves and, more importantly, how the body compensates.

In addition to being able to examine and inform you of why you back may hurt as a result of the way your foot touches the ground when you walk, they can examine your balance centers, watch how you walk and move, identify what needs work and come up with a treatment plan to improve your balance and decrease your risk of falls.


Falls account for 25% of all hospital admission, 40% of all nursing home admissions. 40% of those who are admitted to the hospital never return to independent living.

In the year 2000 falls accounted for a 19 billion dollar cost to Medicare and by 2020 that number is planned to exceed $ 54.9 billion. When you take into further consideration that these numbers are only for the treatment and do not include the cost of assisted living or long term care they skyrocket.

Balance is the interaction of your body with gravity. The body depends on three primary balance centers: what you see with your eyes, what you detect with your inner ear and what you feel with your body. If you lose one or one is diminished, balance is more difficult. This could, to a point explain, why more falls occur at night when it is tough to see. It is incorrect to absorb that balance deteriorates because of age; in fact it occurs more do to disuse. As people get older, they move less, as a result their balance centers do not benefit from the daily interaction with gravity and the become less sensitive.

A simple 5 minute balance test that evaluates your standing (static) balance and walking (dynamic) balance can quickly set a benchmark. The plan will work on the areas of weakness and in a few weeks a re-test will be administered to monitor improvement.

With a very easy physical therapy program, these three balance centers can easily improve and tests bear that out.

No matter how complex one may think a medical issue is, it is generally agreed on that, “prevention is the best medicine”. Something that can change so much, can easily be preceded with little effort or cost. All you have to do is take the first step.

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Chiropractic and Physical Therapy Therapies Are Different, But Alike

When you are injured or in pain, how can you decide whether to visit a chiropractor or a physical therapist? In many respects, these two occupations are quite similar, but there are differences. Here's what you need to know to make the right decision and get relief.


First, check with your insurance company and find out what services are covered under your plan. Some policies will only cover physical therapies prescribed by a doctor while others are a bit more liberal and will allow a certain number of chiropractic adjustments.

If your insurance policy will cover either type of treatment, then you need to delve into the philosophy of practice. In other words, what is the goal of the treatment and how will you and the service provider achieve it? That is just one difference between chiropractors and physical therapists, but there are more.

Chiropractic Care

Let's take a look at chiropractors first. According to the American Chiropractic Association, the definition of chiropractic care is thus: “Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches … They practice a drug-free, hands-on approach to health care that includes patient examination , diagnosis and treatment. Chiropractors have broad diagnostic skills, and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, psychiatric and lifestyle counseling. ”

Chances are you have received a chiropractic adjustment before. This is simply a manipulation of your spinal in order to restore mobility to the joints, ease pain and relieve tightness in the muscles. It's a very common practice and it can do a lot of good for a variety of ailments. But they do more than adjust your spine; chiropractors can recommend whole body therapies and today even specialize in sports medicine.

Physical Therapy

Physical therapists, as defined by the American Physical Therapy Association are: “… health care professionals who maintain, restore, and improve movement, activity, and health, enabling individuals of all ages to have optimal functioning and quality of life, while ensuring patient safety and applying evidence to provide efficient and effective care. In addition, physical therapists are involved in promoting health, wellness, and fitness through risk factor identification and the implementation of services to reduce risk, or slow the progress of or prevent functional decline and disability , and enhancement participation in chosen life situations. ”

Much of the focus of modern physical therapy is on education. Often the services of physical therapists are required before problems get worse. They provide muscle and joint therapies that go beyond rehabilitation and focus on overall body wellness.


While the differences may be obvious, the similarities can be even more so. Both professions help patients feel better and provide various therapies for a wide variety of aches, pains and disabilities. Education and rehabilitation are stressed by both professors.

Another way that many chiropractic and physical therapy clinics are similar is in the type of equipment used. One of the newest tools of the trade is an infrared body wrap system. Using far infrared rays safely administrated via a wrap that can be applied to any part of the body, this soothing, noninvasive therapy is quite beneficial for muscle aches, joint pain and other body stressors. You are likely to find an infrared body wrap system in many modern chiropractor and physical therapist offices because they allow patients to comfortably and privately experience the benefits of infrared heat, much like a sauna.

So which specialist should you see when you are injured or experiencing pain? Your regular doctor's recommendation along with an overview of your insurance policy will usually provide the right answer.

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